- CenterWell (Boise, ID)
- …our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health ... provider contracts. The Provider Contracting Professional 2 communicates...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and… more
- St. Luke's Health System (Boise, ID)
- **Overview** The Manager, Payer Contracting is a key role for St. Luke's Health Partners accountable for the payer contract portfolio, to include oversight of the ... balance. **What You Can Expect:** + Establishes and maintains network professional and facility outbound interim payment schedules, and/or prospective capitation… more
- CenterWell (Boise, ID)
- …relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in ... and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for… more
- CVS Health (Boise, ID)
- …negotiate favorable contracts. + 3+ years of working knowledge of complex contracting options, provider reimbursement methodologies and terms, and contract ... be proficient in Word, Excel, and Microsoft Office. **Preferred Qualifications** + Professional and Ancillary contracting experience. + Strong critical thinking,… more
- Stantec (Boise, ID)
- …Architect license highly preferred + Experience with DoD planning and budget/ contracting procedures preferred + Project Management Professional certification ... in accordance with the company's policies and applicable laws + Mentors and provide leadership to staff and project teams + Evaluates and integrates engineering… more
- CVS Health (Boise, ID)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working… more
- Trinity Health (Boise, ID)
- …of providers. Compensation Models/Strategy + Partner with the Director of Physician Contracting in the development and implementation of provider compensation ... for primary care, specialists, and advanced practice providers. + Provide analysis and monitoring of provider productivity...analysts and junior level business partners on the Physician Contracting team. + Support the Provider Financial… more
- Highmark Health (Boise, ID)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- St. Luke's Health System (Boise, ID)
- **Overview** The Data Governance Professional plays a pivotal role in safeguarding and optimizing our organization's data assets. They ensure data quality, ... for secure data sharing with external partners, adhering to standards and contracting agreements. + Reporting: Generate reports and dashboards on data governance… more
- CVS Health (Boise, ID)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... international network, medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via timely provision… more
- Meta (Boise, ID)
- …roles to join our Design, Engineering & Construction (DEC) organization to direct contracting across the full E2E project lifecycle of data center campuses in North ... contract management function at the program level, including custom contracting strategies, first-of-kind product and deal solutions, contracts management tooling… more
- St. Luke's Health System (Boise, ID)
- …an experienced contract manager to support complex contract negotiation and our contracting processes. This role requires familiarity with the elements of and ... + Provides direct support to the Corporate Transactions and Governance professional legal staff in the organization, including the preparation and interpretation… more
- St. Luke's Health System (Boise, ID)
- …and oversight of the critical functions of medical staff credentialing, privileging, contracting , provider enrollment and peer review for the health system. ... verification of new applications and reappointments. Oversees medical staff privileging, provider enrollment, focused professional practice evaluation, ongoing … more
- Cardinal Health (Boise, ID)
- …At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions in the ... laws and regulations applicable to the AHS business. **_Responsibilities_** * Provide legal guidance on various healthcare laws, regulations, and subregulatory… more
- St. Luke's Health System (Meridian, ID)
- …Join our team as a Contract Manager, where you'll drive and negotiate contracting processes that not only improve quality across our organization but also shape ... the future of healthcare contracting . If you're a strategic thinker with a passion...level! We're committed to providing opportunities for **advancement** and professional development. + **High-Impact Role** : Your work will… more
- CenterWell (Boise, ID)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
- Bureau of Land Management (Boise, ID)
- …administration and/or replacement orders for assigned projects. Serves as a Contracting Officer's Representative or Project Inspector for various fire equipment ... dispatch coordination, training and logistics; understanding of procurement and contracting procedures, maintenance and repair policies and property disposal… more
- Molina Healthcare (Caldwell, ID)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to the enterprise. Primary responsibilities will… more